Folie 1

1
G.L.,female, 103
Femoral neck fracture, following a sudden
fall at her home.
2
G.L.,female, 103
Hemiarthroplasty, Müller straight Stem
cemented.
3
G.L.,female, 103
Fall again and peri- prosthetic fracture.
4
G.L.,female, 103

• Classification acc. to Johansson.
• 1. I
• 2. II
• 3. III

5
G.L.,female, 103

• Classification acc. to Duncan and Masri.
• 1. A
• 2. B
• 3. C

6
G.L.,female, 103
Plate fixation. AO.
7
G.L.,female, 103

• Plate fixation
• 1. Adequate
• 2. Too short

8
G.L.,female, 103
Loosening of the plate. 2 falls in the meantime
9
G.L.,female, 103

• Reosteosynthesis
• 1. Longer plate and fixation in the cement and
  condyles (angular stable fixation), allogenous
  bone tx
• 2. Retrograde nailing and cerclages

10
G.L.,female, 103
29.11.2005
11
G.L.,female, 103
10.01.2006
12
G.L.,female, 103

• Do you think electrical stimulation in these
  cases is of any advantage?
• 1. Yes
• 2. No
• 3. May be

13
G.L.,female, 106
Also Joy is contagious
Mrs. Lucie G. 106 years
14
D.C., female, 77
Primary implantation 1998 Hybrid Aseptic
loosening 10 yrs later In the mean time also
replace- ment of her left knee. Arthrodesis of
her right hip.
15
D.C., female, 77
Revision surgery Hybrid Reinforcement ring
acc. to Ganz Septic loosening - MRSA Non-union of
femur osteotomy
16
D.C., female, 77
Rerevision surgery 2008-03-06 Fracture of the
acetabulum and os ilium Stem was left in spite of
infection! Transfer to our hospital
17
G.M., female, 77
18
D.C., female, 77
19
D.C., female, 77

• Platefixation of the pelvis?
• 1. Yes
• 2. No
• Fixation of the femur
• 1. Yes
• 2. No

20
D.C., female, 77
Treatment of the infection by a multiple stage
procedure. Consolidation of the fractures and
malalignement of the osteotomy
21
D.C., female, 77
2008-10-30
22
D.C., female, 77

• Cementless Cup?
• 1. Yes
• 2. No
• Modular intramedullary fixation of the femur?
• 1. Resection due to shortening - Tumorprosthesis
• 2. No Resection and intramedullary modular stem

23
D.C., female, 77
2008-12-16
24
D.C., female, 77
2008-12-16
25
O.A., female, 70
Fracture in the intertrochanteric region
following arthrodesis (?) of the hip.
Rearthrodesis was Initiated but failed.
2006-02-27
26
O.A., female, 70

• Next step?
• 1. Rearthrodesis with nail (reco nail)
• 2. Rearthrodesis with plate
• 3. Second look on the x-ray

27
O.A., female, 70
2006-02-27
28
O.A., female, 70
At the age of 16 rickets and protrusion!
1955-12-05
29
O.A., female, 70
1956-01-03
30
O.A., female, 70
Arthroplasty with a Judets prosthesis by Max
Lange in 1956!
1956-01-03
31
O.A., female, 70
1956-02-20
32
O.A., female, 70
1959-02-05
33
O.A., female, 70
In the following years ankylosis occured
1965-09-09
34
O.A., female, 70
Fracture in the intertrochanteric region i.
e. a periprosthetic fracture.
2006-02-27
35
O.A., female, 70

• Reosteosynthesis?
• 1. Yes
• 2. No

36
O.A., female, 70
2006-06-27
37
O.A., female, 70
2009-03-10
38
O.A., female, 70
2009-03-10